============================================================================= Run Date: SEP 29, 2022 Designation: PXRM*2*65 Package : PXRM - CLINICAL REMINDERS Priority: Mandatory Version : 2 SEQ #64 Status: Released Compliance Date: DEC 16, 2022 ============================================================================= Associated patches: (c)OR*3*405 install with patch `PXRM*2*65' (v)PXRM*2*42 <<= must be installed BEFORE `PXRM*2*65' (v)PX*1*215 <<= must be installed BEFORE `PXRM*2*65' (v)PXRM*2*71 <<= must be installed BEFORE `PXRM*2*65' Subject: CPRS V32B REMINDER CHANGES FOR VIMM Category: - Routine Description: ============ This patch is part of the Computerized Patient Record System (CPRS) v32B updates. Below is a list of all the applications involved in this project along with their patch numbers: APPLICATION/VERSION PATCH --------------------------------------------------------------- TEXT INTEGRATION UTILITIES v1.0 TIU*1.0*289 OUTPATIENT PHARMACY v7.0 PSO*7.0*441 CLINICAL REMINDERS v2.0 PXRM*2.0*65 ADVERSE REACTION TRACKING v4.0 GMRA*4.0*51 HEALTH SUMMARY v2.7 GMTS*2.7*115 PCE PATIENT CARE ENCOUNTER v1.0 PX*1.0*217 BAR CODE MEDICATION ADMINISTRATION v3.0 PSB*3.0*93 ORDER ENTRY/RESULTS REPORTING v3.0 OR*3.0*405 INPATIENT MEDICATIONS v5.0 PSJ*5.0*399 MENTAL HEALTH v5.01 YS*5.01*211 PHARMACY DATA MANAGEMENT v1.0 PSS*1.0*187 KERNEL v8.0 XU*8.0*662 PSS*1.0*187 and XU*8.0*662 are being released as host files, but they will not be included in the multi-package build. The remaining patches are being released in the KIDS multi-package build CPRS V32B COMBINED BUILD 1.0. Specifically, this patch introduces the support for NSR 20130903 VistA Immunization Enhancements (VIMM). A new finding modifier, IMMUNIZATION SEARCH CRITERIA, was added to the findings multiple of reminder definitions and reminder terms. It is a set of codes that controls how a patient's immunizations are searched for during reminder evaluation. CPRS v32B will allow users to input immunization contraindications, precautions, and refusals, storing them in the V IMM CONTRA/REFUSAL EVENTS file. Clinical Reminders was modified so entries from this file can be used in reminder evaluation. As a result, there are two new evaluation statuses: CONTRA and REFUSED. The above changes made the use of the V IMMUNIZATION field (#.07) CONTRAINDICATED obsolete and its use was removed from reminder evaluation. The description for the computed finding VA-REMINDER DEFINITION was updated to include the new statuses of CONTRA and REFUSED. A new computed finding VA-IMMUNIZATION AND LOCATION LOT INFO is included. It is only for use with a Reminder Dialog to obtain lot information. The following changes are not related to immunizations: The fields: PRINT NAME, MINIMUM VALUE, MAXIMUM VALUE, MAXIMUM DECIMALS, UCUM CODE, PROMPT CAPTION and UCUM DISPLAY were added to Reminder Taxonomies. This provides the basis to be able to record measurements for codes in a taxonomy. The corresponding CPRS changes will be in a future version. Clinical Maintenance output of measurements was changed to use the UCUM DISPLAY field for determining what to display for the units. Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- REMINDER DIALOG COMPLETE DATA (154) NEW (801.41) STANDARD CODES HEADER NEW (123) ADDITIONAL FINDINGS ADDITIONAL FINDING (.01) MODIFIED (801.4118) REMINDER TAXONOMY MINIMUM VALUE (220) NEW (811.2) MAXIMUM VALUE (221) NEW MAXIMUM DECIMALS (222) NEW UCUM CODES (223) NEW PROMPT CAPTION (224) NEW UCUM DISPLAY (225) NEW REMINDER TERM (811.5) FINDING ITEM (811.52) IMMUNIZATION SEARCH NEW CRITERIA (29) REMINDER DEFINTION IMMUNIZATION SEARCH NEW (811.9) CRITERIA (29) FINDINGS (811.902) Forms Associated: Form Name File # New/Modified/Deleted --------- ------ -------------------- PXRM TAXONOMY 811.2 MODIFIED EDIT Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- PXRM DIALOG SEARCH REPORT Action Modified PXRM DIALOG TOOLS MENU Menu Modified Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- PXRM MFS EVENT NEW Security Keys Associated: Security Key Name ----------------- N/A Templates Associated: Template Name Type File Name (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- PXRM EDIT I 801.41 NEW ELEMENT PXRM EDIT GROUP I 801.41 NEW PXRM DIALOG P 801.41 MODIFIED ELEMENT PXRM DIALOG P 801.41 MODIFIED GROUP PXRM TERM P 811.5 MODIFIED INQUIRY Additional Information: Remote Procedure Calls ---------------------- PXRM REMINDER DIALOG (TIU) New Service Requests (NSRs): ---------------------------- 20130903 VistA Immunization Enhancements Patient Safety Issues (PSIs): ----------------------------- N/A Defect Tracking System Ticket(s) & Overview: -------------------------------------------- N/A Test Sites: ---------- Fresno, CA Northern California HCS North Florida / South Georgia HCS Software and Documentation Retrieval Instructions: -------------------------------------------------- Sites may retrieve the software and documentation directly using the deployment download server provided by the CPRS Implementation team. Instructions will be distributed when your site begins the implementation process. After the wave deployment has been completed, the host file will be available at the following location: /srv/vista/patches/SOFTWARE/CPRS_V32B_COMBINED_BUILD.KID Other Software Files: This release also includes other software files. Other software files can be obtained by accessing the URL: https://download.vista.domain.ext/index.html/SOFTWARE after the deployment has been completed. File Name Contents Retrieval Format --------- -------- ---------------- OR_30_405.ZIP CPRSChart.exe BINARY RoboEx32.dll borlndmm.dll CPRSChart.map CRC.TXT YS_MHA_A_XE10.dll HELP Directory OR_30_405_SRC.ZIP CPRS v32B Source BINARY CPRS_V32B_COMBINED_BUILD.KID CPRS V32B COMBINED ASCII XU_8_662.KID Kernel Changes ASCII PSS_1_187.KID PDM Changes ASCII Documentation describing the new functionality is included in this release. Documentation can be found on the VA Software Documentation Library at: https://www.domain.ext/vdl/. Documentation can also be obtained at https://download.vista.domain.ext/index.html/SOFTWARE. Both the VDL and the SOFTWARE folder will be updated after deployment has been completed. Title File Name --------------------------------------------------- Clinical Reminders Version 2 PXRM_2_MM.DOCX Manager's Manual PXRM_2_MM.PDF Installation Instructions: -------------------------- ***Installation of this build must NOT be queued.*** Please refer to the "CPRS v32b (OR*3.0*405) Deployment, Installation, Back Out, and Rollback Guide" for installation and set-up information. This document is exported as OR_3_0_405_DIBR.PDF and OR_3_0_405_DIBR.DOCX. Post-Installation Instructions: ------------------------------- Please refer to the "CPRS v32b (OR*3.0*405) Deployment, Installation, Back Out, and Rollback Guide" for installation and partial set-up information. For the remaining setup instructions, please refer to the "Computerized Patient Record System (CPRS) Version 32b Build (OR*3.0*405) Setup and Configuration Guide". This document is exported as OR_3_0_405_SETUP.PDF and OR_3_0_405_SETUP.DOCX. Back-Out/Roll Back Plan: ------------------------ Please refer to the "CPRS v32b (OR*3.0*405) Deployment, Installation, Back Out, and Rollback Guide" for back-out and rollback information, along with risks and criteria for back-out. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;CLINICAL REMINDERS;**[Patch List]**;Feb 04, 2005;Build 436 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PXRM Before: B44585857 After: B46354033 **4,11,12,16,18,24,26,47,42,65** Routine Name: PXRMCIMM Before: n/a After: B4634739 **65** Routine Name: PXRMDATE Before: B73452738 After:B121503090 **4,6,12,17,18,24,26,47,42,65** Routine Name: PXRMDLFI Before: B14818489 After: B22107764 **12,65** Routine Name: PXRMDLG6 Before: B34212481 After: B82226372 **12,26,66,45,65** Routine Name: PXRMDLG7 Before: B13346998 After: B13361559 **45,65** Routine Name: PXRMDLL Before:B254684596 After:B273989865 **10,6,12,17,18,26,47,45,65** Routine Name: PXRMDLLA Before:B177234986 After:B211350061 **6,12,18,26,45,65** Routine Name: PXRMDLLB Before:B156519274 After:B163614814 **6,12,16,26,47,45,65** Routine Name: PXRMDLLC Before: B24072725 After: B29167943 **45,65** Routine Name: PXRMDLR3 Before: B43767670 After: B46270960 **45,65** Routine Name: PXRMDTAX Before:B198889216 After:B195236844 **26,47,65** Routine Name: PXRMDTX1 Before: n/a After: B4546968 **65** Routine Name: PXRMEDU Before: B13918373 After: B19682627 **42,65** Routine Name: PXRMEUT1 Before: B34629436 After: B36306606 **4,6,12,65** Routine Name: PXRMEVFI Before: B11414696 After: B11388550 **6,18,42,65** Routine Name: PXRMEXAM Before: B13736448 After: B19478054 **42,65** Routine Name: PXRMEXU4 Before:B135631400 After:B154381855 **6,12,22,26,45,71,65** Routine Name: PXRMFF Before: B76357476 After: B77542349 **4,6,11,18,22,24,26,47,42,65** Routine Name: PXRMFF0 Before: B18180135 After: B48703021 **4,6,12,18,47,42,65** Routine Name: PXRMFFDB Before: B68198524 After: B78176679 **4,6,12,18,26,46,65** Routine Name: PXRMFLST Before: B4375098 After: B7971114 **65** Routine Name: PXRMFNFT Before:B145515275 After:B177131675 **4,12,16,47,46,65** Routine Name: PXRMHF Before: B53277538 After: B63943698 **6,17,18,42,65** Routine Name: PXRMICHK Before:B225635853 After:B230735096 **18,24,26,47,45,42,65** Routine Name: PXRMIMM Before: B11549713 After:B172803025 **42,65** Routine Name: PXRMINDL Before: B24651910 After: B27110837 **4,6,12,26,65** Routine Name: PXRMINDX Before: B36378752 After: B40666721 **4,6,12,17,18,26,65** Routine Name: PXRMLDR Before: B20234429 After: B22082096 **18,26,47,42,65** Routine Name: PXRMLOG Before: B67488337 After: B92481978 **4,6,12,17,18,26,47,42,65** Routine Name: PXRMLOGX Before: B66338920 After:B100564315 **4,18,65** Routine Name: PXRMMFS Before: n/a After: B872501 **65** Routine Name: PXRMORCH Before:B105863585 After:B110319593 **16,22,26,47,45,71,65** Routine Name: PXRMOUTC Before: B43713968 After: B53561602 **4,6,17,26,47,46,42,65** Routine Name: PXRMOUTD Before: B15041011 After: B16665542 **4,17,47,65** Routine Name: PXRMOUTM Before: B30066077 After: B36001467 **4,6,17,47,46,42,65** Routine Name: PXRMOUTU Before: B19206492 After: B19389206 **17,18,26,47,42,65** Routine Name: PXRMP65D Before: n/a After: B8097595 **65** Routine Name: PXRMP65E Before: n/a After: B1369776 **65** Routine Name: PXRMP65I Before: n/a After: B29822281 **65** Routine Name: PXRMPTDF Before: B82159691 After: B83163774 **4,6,12,46,65** Routine Name: PXRMPTL Before: B36712533 After: B58790588 **4,12,18,65** Routine Name: PXRMPTTR Before: B22036356 After: B22673547 **4,6,12,65** Routine Name: PXRMREDF Before: B85389272 After: B88402646 **4,6,12,26,47,46,65** Routine Name: PXRMREDT Before: B88180180 After: B90443489 **4,6,12,18,26,47,45,65** Routine Name: PXRMRPCC Before: B41160375 After: B42625607 **6,45,65** Routine Name: PXRMRPCD Before: B11397786 After: B11504272 **16,45,65** Routine Name: PXRMRXTY Before: B4846730 After: B7002433 **65** Routine Name: PXRMSTS Before:B191923328 After:B208767188 **12,17,18,26,45,65** Routine Name: PXRMTERM Before: B64733107 After: B76581919 **4,6,11,18,26,47,42,65** Routine Name: PXRMTMED Before: B11727267 After: B11989029 **1,4,6,12,26,45,42,65** Routine Name: PXRMTXCS Before: B3010053 After: B8017494 **26,65** Routine Name: PXRMTXSM Before: B76721210 After: B76011278 **26,47,42,65** Routine Name: PXRMUCUM Before: n/a After: B6916179 **65** Routine Name: PXRMUID Before: B127583 After: B127776 **42,65** Routine Name: PXRMVSC Before: B34098955 After: B36393717 **42,65** Routine list of preceding patches: 42, 71 ============================================================================= User Information: Entered By : Date Entered : NOV 02, 2015 Completed By: Date Completed: SEP 28, 2022 Released By : Date Released : SEP 29, 2022 ============================================================================= Packman Mail Message: ===================== No routines included